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Hunting the invisible: diagnosing CAD in diabetes

Coronary artery disease can be clinically silent in patients with type 2 diabetes, remaining undetected until acute events occur. So what approaches and techniques can be taken to aid diagnosis and tailor prevention in this population?

Read more

Editor's Choice

Taking an ‘obesity first’ approach to healthcare

Could an ‘obesity first’ approach, which favors proactive obesity treatment, redefine the management of chronic diseases, such as hypertension, type-2 diabetes, MASLD, CVD, musculoskeletal disorders, and potentially IBD?  

Type 2 diabetes: future approaches to pharmacological therapy

Many people with type 2 diabetes do not achieve or maintain tight glycemic control despite the availability of several classes of glucose-lowering agents. What are the prospects for future non-insulin pharmacological approaches? 

A multidisciplinary perspective on semaglutide plus medical nutrition therapy for obesity

Explore the integration of semaglutide with medical nutritional therapy for the comprehensive management of obesity, with a focus on the Mediterranean diet and very-low-energy ketogenic therapy.

Liraglutide may reduce recurrent stroke risk in people with type 2 diabetes

Liraglutide may reduce recurrent stroke risk versus placebo in people with type 2 diabetes with minor acute ischemic stroke or high-risk transient ischemic attack.

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Episode 19: GLP-1 medicines - past, present, and future

From diabetes to obesity and beyond

In 2005 the US FDA approved the first GLP-1 medicine for type 2 diabetes, marking the start of a remarkable journey that goes beyond the stimulation of insulin secretion.

Prof. Daniel Drucker gives us a fascinating insight into the early work on GLP-1 and discusses how these medicines are impacting the lives of people with diabetes and obesity. He covers what's known about how they work, treatment duration, side effects, and the role of bariatric surgery, plus what's in the pipeline in terms of drug development and the indications that GLP-1 medicines may be used to treat in the future.

Prof. Daniel Drucker
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Podcast

Keynote series | Spotlight on managing health in obesity

Obesity is a major contributor to cardiorenal metabolic disease, but its impact extends throughout the body. Understand how obesity can affect other organ systems and impact treatment, and whether weight-loss measures improve outcomes.

Prof. Eva L. Feldman
Prof. Jonette Keri
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Video

Case Studies

Sudden onset of arm movements in a woman with diabetes

What could be causing involuntary and uncontrolled movements in the right arm and leg of a woman with a 25-year history of diabetes and hypertension, beginning shortly after an intramuscular betamethasone injection for shoulder pain?

Post-bariatric hypoglycemia in a patient with heart failure

A man who achieved diabetes remission after gastric bypass presented with hypoglycemic episodes and endogenous hyperinsulinemia. Hypoglycemia resolved and fasting tests normalized when sacubitril/valsartan was discontinued due to worsening renal function.

Misdiagnosis of diabetic ketoacidosis

A woman with abdominal pain was diagnosed with ureteral stones, but her pain persisted despite stent placement. A prior diagnosis of type 2 diabetes led to diabetic ketoacidosis being identified as the cause of the pain. 

Raising the standard: ensuring patient safety through minimum requirements for CGM performance

Prof. Chantal Mathieu highlights how the absence of rigorous performance standards for continuous glucose monitors in Europe contributes to wide variability in device accuracy, raising important concerns about patient safety.

Supported by:
  • Abbott Diabetes Care
Prof. Chantal Mathieu
Developed by: Springer Health+
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Video

Current Reviews

A comprehensive review of advanced techniques that aid in development of non-invasive diagnostic tool for diabetic foot ulcer detection and monitoring using deep learning models

Diabetic foot ulcers (DFUs) are a common foot issue among diabetic patients, affecting up to 15% of their lifetime. These ulcers are a major cause of lower limb amputation, with 85% of infected foot ulcers leading to amputation. Diabetic foot …

Biopsy-proven glomerular diseases: a systematic review of global kidney biopsy registries

Glomerular diseases are a significant cause of chronic kidney disease (CKD) and kidney failure worldwide, posing a significant burden on healthcare systems [ 1 ]. The prevalence and histopathological patterns of biopsy-proven glomerulopathies …

Mitochondrial dysfunction in type 1 diabetes and its implications for pancreatic beta-cell survival and insulin secretion

Mitochondrial dysfunction plays a crucial role in the pathophysiology of Type 1 Diabetes (T1D), as it compromises beta (β)-cell survival and insulin secretion. Autoimmune-driven inflammation disrupts mitochondrial homeostasis and thereby induces …

Targeting the gut-retina axis: mechanistic insights and therapeutic prospects for diabetic retinopathy

The pathogenesis of diabetic retinopathy DR is highly complex, and in recent years, increasing attention has been directed toward the role of the gut in its development. Evidence suggests that intestinal barrier dysfunction is a frequent …

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
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CME and eLearning

Integrating ketone and glucose monitoring for optimized diabetes management (Link opens in a new window)

1.0 AMA PRA Category 1 Credit(s)

Familiarize yourself with current and emerging ketone monitoring systems and the most useful clinical scenarios in which to use them through our podcasts and e-learning modules. Lower the barriers to effective prevention of diabetic ketoacidosis.

Supported by:
  • Abbott
Developed by: Springer Health+ IME

Raising the standard: ensuring patient safety through minimum requirements for CGM performance

Prof. Chantal Mathieu highlights how the absence of rigorous performance standards for continuous glucose monitors in Europe contributes to wide variability in device accuracy, raising important concerns about patient safety.

Supported by:
  • Abbott Diabetes Care
Developed by: Springer Health+

Real-world application of CGM technology (Link opens in a new window)

1.0 AMA PRA Category 1 Credit(s)

Refine the application of CGM technology in primary care to enhance the management of type 2 diabetes. Benefit from key updates and experiential learning using CGM devices, and practice your clinical decision-making skills with real cases, vodcasts, and interactive infographics.

Supported by:
  • Abbott
Developed by: Springer Health+ IME

Further Reading

Metabolic Surgery for Obese Type 2 Diabetes: Korean Multicenter Cohort Study

Obesity and type 2 diabetes mellitus (T2DM) are two of the most pressing public health challenges worldwide. Over the past four decades, the global prevalence of obesity has risen drastically, with more than 650 million adults classified as obese …

Insulin production is sustained during DNA damage-mediated senescence in adult human beta cells

  • Open Access
  • Insulins
  • Original Research

Type 1 diabetes results from chronic autoimmune-mediated destruction of insulin-producing pancreatic beta cells. In recent years, the role of beta cell stress and dysfunction have been recognised as factors contributing to the progression of the …

Analysis of morbid obese diabetic and non-diabetic patients: clinical and social characteristics, habits and workup to undergo bariatric surgery in Lombardy, Italy

Obesity is the largest epidemics of non-communicable diseases, and severe obesity is extremely prevalent [ 1 ]. O besity significantly contributes to the development of cancer, cardiovascular diseases, liver diseases, and type 2 diabetes mellitus …

Influence of glycaemic management and BMI on cardiac autonomic markers in children with type 1 diabetes: a prospective cohort study

Diabetes autonomic neuropathy (DAN) includes disturbances from the urogenital and gastrointestinal organs, the sudomotor function and cardiovascular autonomic neuropathy (CAN), the latter of which is the most studied form [ 1 ]. CAN symptoms …

Related topics

Hunting the invisible: diagnosing CAD in diabetes

Coronary artery disease can be clinically silent in patients with type 2 diabetes, remaining undetected until acute events occur. So what approaches and techniques can be taken to aid diagnosis and tailor prevention in this population?

Read more

Hunting the invisible: diagnosing CAD in diabetes

Coronary artery disease can be clinically silent in patients with type 2 diabetes, remaining undetected until acute events occur. So what approaches and techniques can be taken to aid diagnosis and tailor prevention in this population?

Read more

Post-bariatric hypoglycemia in a patient with heart failure

A man who achieved diabetes remission after gastric bypass presented with hypoglycemic episodes and endogenous hyperinsulinemia. Hypoglycemia resolved and fasting tests normalized when sacubitril/valsartan was discontinued due to worsening renal function.

Read more
Image Credits
Plaque builds up inside an artery/© bodym / iStock / Getty Images Plus, Number one on a green alarm clock/© mustafaU / iStock / Getty Images Plus, Man looking at sunset on the horizon/© BartekSzewczyk / Getty Images / iStock, Semaglutide plus nutrition therapy for obesity concept illustration/© JDawnInk / DigitalVision Vectors / Getty Images, Downward arrows/© akinbostanci / Getty Images / iStock, Medicine Matters Podcast promo image/© Springer Medizin GmbH, Woman taking pill/© amenic181 / stock.adobe.com (symbolic image with model), Closed-loop insulin system on a pregnant woman/© dzika_mrowka / iStock / Getty Images Plus (symbolic image with model), Crowd of people in shape of tick mark/© MicroStockHub / Getty Images / iStock, Hand stacking three blue wooden blocks with green checkmarks/© izzuan / Stock.adobe.com, Colourful crowd of people (conceptual graphic)/© JuSun/Getty Images/iStock, Spotlight on obesity series 4x3 image/© smartboy10 / Getty Images / iStock, Hyperdense lesion in the left putamen/© 2025, Fondazione Società Italiana di Neurologia, Neurol Sci, Man taking a pill/© sebra / stock.adobe.com (symbolic image with model), Woman with abdominal pain/© Srisakorn / iStock / Getty Images Plus (symbolic image with model), Woman monitoring glucose level with sensor and an app on her phone while training at swimming pool/© (M) Goffkein, stock.adobe.com (symbolic image with model), Person walking/© _KUBE_ / Stock.adobe.com, Integrating Ketone and Glucose Monitoring for Optimized Diabetes Management/© Springer Healthcare IME, Real-world application of CGM technology to improve diabetes management in primary care/© Springer Healthcare IME, Fat cells 3D render/© Spectral-Design / Stock.adobe.com, Thermal plantar foot images of a person with diabetes/© (M) 2024, N Christy Evangeline et al. in Big Data, Machine Learning, and Applications. BigDML 2021. Lecture Notes in Electrical Engineering, under exclusive license to Springer Nature Singapore Pte Ltd., Brain inside a medicine capsule/© Jorg Greuel / Getty Images, 3D illustration of platelets in blood smear/© Kateryna_Kon / stock.adobe.com, Glucose monitor on upper arm/© Oksana Iermolinska / iStock / Getty Images Plus (symbolic image with model), Man lying on a sofa/© urbazon / E+ / Getty Images (symbolic image with model), 3D rendered risk index concept image/© Wong Yu Liang / Moment / Getty Images, Woman scheduling an appointment/© Andrey Popov / Stock.adobe.com (symbolic image with model), A large enhancing tumor in the pelvic cavity before and after embolization/© (M) 2025, Atefeh Jannatalipour et al, BMC Endocr Disord